ورقة عمل التمريض الباطني الجراحي: الجهاز الهضمي وما حول الجراحة والأورام مع الإجابات

Which feature is typical of Crohn's disease?

1. AIt affects only the stomach lining and causes ulcers there
2. BIt can affect any part of the gut, with normal bowel in between
3. CIt affects only the liver and bile ducts
4. DIt affects only the rectum and colon, in one continuous stretch

What is atelectasis?

1. AA blood clot in a leg vein
2. BCollapse of small air sacs in part of the lung
3. CInfection of the surgical wound
4. DSwelling of both ankles caused by lying in bed after surgery

What is a carcinoma?

1. AA cancer arising from bone or muscle
2. BA cancer of white blood cells
3. CA benign growth of fatty tissue
4. DA cancer arising from epithelial cells

Which risk is particularly linked with tramadol?

1. ARapid liver failure at normal doses
2. BHigh blood pressure that needs emergency treatment in most patients
3. CSevere stomach ulcers in all patients
4. DSerotonin syndrome with some antidepressants, and seizures

مريض لديه فغر لفائفي جديد وخرجه غزير جدًا. ما الخطر الرئيسي؟

1. Aفرط السوائل وتورم الكاحلين
2. Bالجفاف وفقد الصوديوم والبوتاسيوم والمغنيزيوم
3. Cارتفاع الكالسيوم وحصى الكلى خلال أيام
4. Dالإمساك وانحشار البراز في الأمعاء فوق الفغر

A day after a spinal anaesthetic, a patient has a headache that is worse when sitting up and better when lying flat. What is the most likely cause?

1. ARaised blood pressure from pain
2. BPost-dural puncture headache
3. CMigraine caused by hospital lighting
4. DA side effect of the antibiotic

On day 3 after surgery, a patient has a temperature of 38,6 °C, respiratory rate 24/min, pulse 118/min, BP 92/58 mmHg and new confusion. What should the nurse do?

1. AEncourage oral fluids and wait for the doctor's round
2. BEscalate urgently and start the sepsis pathway
3. CGive paracetamol and recheck in four hours
4. DRecord the observations and continue routine care

A patient with facial burns from a house fire was talking normally on arrival. Two hours later, the voice is hoarse and there is stridor. What should the nurse do?

1. AGive a warm drink to soothe the throat
2. BEncourage the patient to rest the voice and reassess tomorrow
3. CLay the patient flat to help them sleep
4. DCall for urgent anaesthetic help, as the airway is swelling